Compositions and methods for inhibiting expression of the PCSK9 gene

Abstract

The invention relates to a double-stranded ribonucleic acid (dsRNA) for inhibiting the expression of the PCSK9 gene (PCSK9 gene), comprising an antisense strand having a nucleotide sequence which is less that 30 nucleotides in length, generally 19-25 nucleotides in length, and which is substantially complementary to at least a part of the PCSK9 gene. The invention also relates to a pharmaceutical composition comprising the dsRNA together with a pharmaceutically acceptable carrier and method for treating diseases caused by PCSK9 gene expression.

The invention claimed is: 
     
       1. A double-stranded ribonucleic acid (dsRNA) for inhibiting expression of a human proprotein convertase subtilisin kexin 9 (PCSK9) gene in a cell, wherein the dsRNA comprises a sense strand and an antisense strand comprising at least 15 contiguous nucleotides of SEQ ID NO:1228 and a duplex structure between 15 and 30 base pairs in length. 
     
     
       2. The dsRNA of  claim 1  comprising a duplex structure between 19 and 21 base pairs in length. 
     
     
       3. The dsRNA of  claim 1  wherein the sense strand comprises the nucleotide sequence of SEQ ID NO:1227 and the antisense strand comprises the nucleotide sequence of SEQ ID NO:1228. 
     
     
       4. The dsRNA of  claim 1 , wherein the sense strand consists of the nucleotide sequence of SEQ ID NO:1227 and the antisense strand consists of the nucleotide sequence of SEQ ID NO:1228. 
     
     
       5. The dsRNA of  claim 1 , wherein the sense strand consists of the nucleotide sequence of SEQ ID NO:1227 and the antisense strand consists of the nucleotide sequence of SEQ ID NO:1228 and each strand is modified as follows to include a 2′-O-methyl ribonucleotide as indicated by a lower case letter “c” or “u” and a phosphorothioate as indicated by a lower case letter “s” and the sense strand consists of SEQ ID NO:1229 (5′-uucuAGAccuGuuuuGcuuTsT-3′) and the antisense strand consists of SEQ ID NO:1230 (5′-AAGcAAAAcAGGUCuAGAATsT-3′). 
     
     
       6. The dsRNA of  claim 1 , wherein the dsRNA comprises at least one modified nucleotide. 
     
     
       7. The dsRNA of  claim 1 , wherein the dsRNA comprises at least one 2′-O-methyl modified nucleotide and at least one nucleotide comprising a 5′-phosphorothioate group. 
     
     
       8. The dsRNA  claim 1 , wherein the dsRNA comprises at least one modified nucleotide, wherein the modified nucleotide is chosen from the group of: a 2′-O-methyl modified nucleotide, a 2′-deoxy-2′-fluoro modified nucleotide, a 2′-deoxy-modified nucleotide, a locked nucleotide, an abasic nucleotide, 2′-amino-modified nucleotide, 2′-alkyl-modified nucleotide, a morpholino nucleotide, a phosphoramidate, a nucleotide comprising a 5′-phosphorothioate group, a terminal nucleotide linked to a cholesteryl derivative or dodecanoic acid bisdecylamide group, and a non-natural base comprising nucleotide. 
     
     
       9. A cell comprising the dsRNA of  claim 1 . 
     
     
       10. A pharmaceutical composition comprising the dsRNA of  claim 1  and a pharmaceutically acceptable carrier. 
     
     
       11. A composition comprising the dsRNA of  claim 1  and a lipid formulation. 
     
     
       12. A composition comprising the dsRNA of  claim 1  and a lipid formulation, wherein the lipid formulation comprises a cationic lipid comprising ND-98. 
     
     
       13. A vector comprising a regulatory sequence operably linked to a nucleotide sequence that encodes at least one strand of the dsRNA of  claim 1 . 
     
     
       14. A cell comprising the vector of  claim 13 . 
     
     
       15. The dsRNA of  claim 1 , wherein contacting a cell in vitro with 30 nM or less of the dsRNA and maintaining the cell for a time sufficient to obtain degradation of a mRNA transcript of a PCSK9 gene, inhibits expression of the PCSK9 gene in the cell. 
     
     
       16. The dsRNA of  claim 1 , wherein contacting HepG2 cells expressing the PCSK9 gene in vitro with the dsRNA and maintaining the cells for a time sufficient to obtain degradation of a mRNA transcript of a PCSK9 gene, inhibits expression of the PCSK9 gene in the cell by at least 20%. 
     
     
       17. The dsRNA of  claim 1 , wherein administering the dsRNA to an animal decreases total serum cholesterol in the animal. 
     
     
       18. A method for inhibiting expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene in a cell comprising contacting the cell with the dsRNA of  claim 1  and maintaining the cell for a time sufficient to obtain degradation of a mRNA transcript of a PCSK9 gene, thereby inhibiting expression of the PCSK9 gene in the cell. 
     
     
       19. A method of treating or managing pathological processes which can be mediated by down regulating expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene comprising administering to a patient in need of such treatment or management a therapeutically effective amount of the dsRNA of  claim 1 . 
     
     
       20. A method of treating a proprotein convertase subtilisin kexin 9 (PCSK9) gene-associated disorder comprising administering to a patient in need of such treatment, a therapeutically effective amount of the dsRNA of  claim 1 . 
     
     
       21. A cell comprising the dsRNA of  claim 3 . 
     
     
       22. A pharmaceutical composition comprising the dsRNA of  claim 3  and a pharmaceutically acceptable carrier. 
     
     
       23. A composition comprising the dsRNA of  claim 3  and a lipid formulation. 
     
     
       24. A method for inhibiting expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene in a cell comprising contacting the cell with the dsRNA of  claim 3  and maintaining the cell for a time sufficient to obtain degradation of a mRNA transcript of a PCSK9gene, thereby inhibiting expression of the PCSK9 gene in the cell. 
     
     
       25. A method of treating or managing pathological processes which can be mediated by down regulating expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene comprising administering to a patient in need of such treatment or management a therapeutically effective amount of the dsRNA of  claim 3 . 
     
     
       26. A method of treating a proprotein convertase subtilisin kexin 9 (PCSK9) gene-associated disorder comprising administering to a patient in need of such treatment, a therapeutically effective amount of the dsRNA of  claim 3 . 
     
     
       27. A cell comprising the dsRNA of  claim 4 . 
     
     
       28. A pharmaceutical composition comprising the dsRNA of  claim 4  and a pharmaceutically acceptable carrier. 
     
     
       29. A composition comprising the dsRNA of  claim 4  and a lipid formulation. 
     
     
       30. A method for inhibiting expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene in a cell comprising contacting the cell with the dsRNA of  claim 4  and maintaining the cell for a time sufficient to obtain degradation of a mRNA transcript of a PCSK9gene, thereby inhibiting expression of the PCSK9 gene in the cell. 
     
     
       31. A method of treating or managing pathological processes which can be mediated by down regulating expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene comprising administering to a patient in need of such treatment or management a therapeutically effective amount of the dsRNA of  claim 4 . 
     
     
       32. A method of treating a proprotein convertase subtilisin kexin 9 (PCSK9) gene-associated disorder comprising administering to a patient in need of such treatment, a therapeutically effective amount of the dsRNA of  claim 4 . 
     
     
       33. A cell comprising the dsRNA of  claim 5 . 
     
     
       34. A pharmaceutical composition comprising the dsRNA of  claim 5  and a pharmaceutically acceptable carrier. 
     
     
       35. A composition comprising the dsRNA of  claim 5  and a lipid formulation. 
     
     
       36. A method for inhibiting expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene in a cell comprising contacting the cell with the dsRNA of  claim 5  and maintaining the cell for a time sufficient to obtain degradation of a mRNA transcript of a PCSK9gene, thereby inhibiting expression of the PCSK9 gene in the cell. 
     
     
       37. A method of treating or managing pathological processes which can be mediated by down regulating expression of a proprotein convertase subtilisin kexin 9 (PCSK9) gene comprising administering to a patient in need of such treatment or management a therapeutically effective amount of the dsRNA of  claim 5 . 
     
     
       38. A method of treating a proprotein convertase subtilisin kexin 9 (PCSK9) gene-associated disorder comprising administering to a patient in need of such treatment, a therapeutically effective amount of the dsRNA of  claim 5 .